Substance Use and Addiction
You will see the term “Substance Use” or “Substance Use
Disorders” utilized instead of substance “abuse”, so
that individuals needing help are not cast as “bad people,”
which creates stigma that may cause them to avoid seeking help. People
who are dependent or addicted to drugs have an illness.
What is addiction?
“Addiction is a chronic, relapsing disease affecting the brain’s
reward, motivation, and related systems.People struggling with addiction
are unable to control their actions or make rational decisions about their
behavior, even in the face of negative consequences.”
Substance Use Statistics
- 55.8 million people were cigarette smokers in 2013
- Men abuse illicit drugs more than women.
- American Indians and Alaska Natives have the highest rate of illicit drug
dependence; Asian Americans have the lowest.
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- Each year about 5,000 youth under 21 die as a result of underage drinking.
- In 2012, 58% of people who tried alcohol for the first time were under
the age of 18.
- In 2014, Gay, Lesbian and Bisexual Maryland High School Students surveyed
were more likely to have used tobacco, alcohol and marijuana than their
heterosexual peers.
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What Causes People to Use Substances?
- A variety of things, a combination of things, and not always completely
identifiable.
- Environment
- Trauma
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- Heredity
- A legitimate need for the drug to treat a condition may lead to use for
other reasons.
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Commonly Used Street Drugs
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- Stimulants - Cocaine, Amphetamines, Methamphetamine, Some ADHD Meds
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Commonly Used Hallucinogens
Most Used Opiates
- Street Heroin - Heroin is less expensive and more potent than ever before.
Now some dealers cut it with Fentanyl, an extremely potent narcotic, which
will kill an unknowing user.
- Oxycodone
- Morphine
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- Codeine
- Hydrocodone - Prescribed by doctors and also bought on the street; stolen
from medicine cabinets
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Visible Symptoms of Substance Use
- Abnormal pupil size
- Agitation
- Convulsions
- Change in Behavior
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- Difficulty breathing
- Drowsiness
- Hallucinations
- Nausea and vomiting
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- Staggering or unsteady gait
- Sweating or extremely dry, hot skin
- Tremors
- Unconsciousness (coma)
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Symptoms of an Opioid Overdose
- Confusion, delirium, or acting drunk
- Mood swings
- Nausea or vomiting or extreme constipation
- Pinpoint pupils
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- Extreme sleepiness, or the inability to wake up
- Stopped or irregular/slow breathing
- Cold, clammy skin, or bluish skin around the lips or under the fingernails
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If you see these symptoms, call 9-1-1 and ask for Ambulance.
If you have Naloxone (Narcan), use it – do not wait for EMT. You
cannot harm someone in this state by using Naloxone.
Depressed breathing is the most dangerous side effect of opioid overdose.
Lack of oxygen to the brain can cause other organ systems, like the kidneys
or heart, to shut down. If a person suffering an opioid overdose is left
alone and falls asleep, the person could die due to depressed, and eventually
cessation of, breathing.
- Call 9-1-1 for suspected drug overdose.
- Apply Naloxone (Narcan) treatment immediately.
- Go to the Emergency Department after treatment.
Symptoms of Withdrawal
- Abdominal cramping
- Agitation
- Cold sweat
- Convulsions
- Delusions
- Depression
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- Diarrhea
- Hallucinations
- Nausea and vomiting
- Restlessness
- Shaking
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Managing Withdrawal
Alcohol / Benzos:
- Includes Valium, Xanax, Ativan, Klonopin
- Easily obtained
- Overuse (poisoning) is deadly
- Withdrawal is a MEDICAL EMERGENCY and must be medically managed to prevent DEATH
- After physical withdrawal person needs family, peer, and professional support
to be successful
Everything Else:
- Includes opiates (incl. heroin), painkillers, marijuana, etc.
- Overdose / poisoning possible
- Withdrawal is extremely uncomfortable from a physical and psychological
standpoint but not life threatening
- Recovery requires ongoing family, peer, and sometimes professional support
HELPFUL RESOURCES
What Can You Do to Help?
What can you do to help?
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Do NOT jeopardize your own safety - Some drugs can cause violent and unpredictable behavior. Call for professional
assistance.
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Do NOT try to reason with someone who is on drugs - Do not expect them to behave reasonably.
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Do NOT offer your opinions when giving help - You do not need to know why drugs were taken in order to give effective
first aid.
Call 211
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2-1-1 Maryland connects you to health and human service resources in your
community and is available 24 hours a day, 7 days a week, in over 180
languages. You can also reach them at 866-411-6803. For more information, visit
211md.org.
Call 911
- Always call 9-1-1 if the person is in immediate danger, threatening to
hurt themselves or someone else, or is unresponsive.
Help Them Find a Provider
- Call the Frederick County Health Department’s Referral and Assessment
Unit at 301-600-1775 to link individuals to the appropriate level of care.
- Someone dealing with substance use will need a therapist, counselor, or
psychiatrist with a mental health and/or substance use focus.
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Check with the Mental Health Association of Frederick by calling 301-662-2255, or visit
fcmha.org.
- Call their insurance company and ask for providers in the area that take
their insurance.
- If they prefer, help them find a fitting religious group or leader to help
guide them.
Substance Disorder Treatments
- Outpatient professionals
- Inpatient setting - acute medical detox, rehab
- Peer supports
- Religious/Spiritual support
Detox or Rehab, which is which?
Detox
- Get the poison out of the body
- Stabilize from withdrawal
- Acute medical scenario requiring supervision or monitoring by medical staff.
Rehab
- Learn to live without the substances.
- Life skills
- Communication Skills
- Hygiene and self-care
- 14-45 day residential program at a rehabilitation facility
Inpatient Rehab - Commercial Insurance
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Mountain Manor - Emmitsburg
9701 Keysville Road
Emmitsburg, Maryland 21727
Phone: 301-447-2361 or 1-800-537-3422
Fax: 301-447-6463
http://mountainmanor.org/adult-residential/
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Delphi
Phone - 844-899-5777
Phone - 443-900-7815 (Eddie)
Fax - 844-270-2012
https://delphihealthgroup.com/
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Steps to Recovery
1400 Veterans Highway
Levittown, PA 19056
Phone - 888-755-7227
Fax - 267-388-3072
https://www.stepstorecovery.com/
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Ambrosia - NJ
287 Old Marlton Pike
Medford, NJ 08055
https://www.ambrosiatc.com/
Phone - 615-375-3401
Phone - 1-888-492-1603
Fax - 609-654-2442
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American Addiction
www.aac.to/gina
Phone - 703-403-1675 (Gina)
Fax - 703-373-2631
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Roxbury Treatment
601 Roxbury Road
Shippensburg, PA 17257
http://www.roxburyhospital.com/
Phone - 800-648-4673
Fax - 717-532-2109
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The Retreat
1170 S State Street
Ephrata, PA 17522
http://www.retreatlc.com/
Phone - 717-382-0799
Fax - 717-859-1102
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Serenity Acres
2015 Martins Grant Ct,
Crownsville, MD 21032
http://www.serenityacres.com/
Phone - 240-334-7853
Fax - 443-955-5736
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Ashley Addiction
800 Tydings Lane
Havre de Grace, MD 21078
https://www.ashleytreatment.org/
Phone - 1-800-799-4673
Phone - 410-273-2213
Fax - 410-273-2395
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Hope House - Laurel
429 Main Street
Laurel, MD 20707
http://hopehousemd.org/
Phone - 301-490-5551
Fax - 301-490-0074
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Hudson Health
1506 Harting Drive, PO Box 1096
Salisbury, MD 21801
http://www.hudson-health.org/
- will not accept pts with active warrants
Phone - 410-219-9000
Phone - 1-888-288-9086
Fax - 410-219-5112
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Amethyst Recovery Center
2749 SW Port St. Lucie Blvd
Port St. Lucie, FL 34953
https://www.amethystrecovery.org/
Phone - 240-370-2656
Phone - 240-751-3989
Fax - 772-800-7723
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Avery Road
14703 Avery Road
Rockville, MD 20853
http://mountainmanor.org/adult-residential/
Fax - 301-762-3451
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Powell Recovery
14 S Broadway
Baltimore, MD 21231
http://www.powellrecovery.com/
Phone - 410-276-1773
Fax - 410-276-2056
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Gaudenzia Park Heights
4615 Park Heights Ave.
Baltimore, MD 21215
http://www.gaudenzia.org/
Phone - 443-423-1500
Fax - 443-423-1495
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Shoemaker
6655 Sykesville Road
Sykesville, MD 21784
http://mountainmanor.org/adult-residential/
Fax - 410-876-1690
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Recovery Centers of America
2701 Renaissance Blvd
King of Prussia, PA 19406
https://recoverycentersofamerica.com
Phone - 443-388-6995
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New England Recovery and Wellness
81 Hall St.
Concord, NH 03301
https://newenglandraw.com/
Phone - 240-370-2656
Fax - 772-800-7723
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Compassion Behavioral Health
1 Oakwood Blvd. #265
Hollywood, FL 33020
http://compassionbehavioralhealth.com
Phone - 844-660-0084
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Safe Haven Treatment Services
Outpatient Treatment
486 W. Market Street
York, PA 17406
https://www.safehavenyork.com/
Phone - 877-339-0355
Hellam Residential
5849 Lincoln Highway
York, PA 17406
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Main Place Treatment Centers
915 Toll House Ave. Suite 102
Frederick, MD 21701
https://mainplacetc.com/
Phone - 240-575-1324
Fax - 301-682-2053
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Anchor of Walden Sierra
30007 Business Center Dr
Charlotte Hall, MD 20622
http://www.waldensierra.org/
Phone - 301-997-1300
Fax - 301-863-4744
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Tranquility Woods
171 - A Ryan Road
Pasadena, MD 21122
http://www.tranquilitywoods.com
Phone - 410-858-4682
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First Step Behavioral Health
3685 N Federal Hwy
Pompano Beach, FL 33064
Phone - 877-256-2215
Fax - 954-301-0859
http://firststepbh.com/
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Retreat Premier Addiction Centers
1170 S State St
Ephrata, PA 17522
Phone - 717-859-8000
Fax - 717-859-6330
https://retreataddictioncenters.com
Inpatient Rehab Adult - Medical Assistance / Medicaid
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Massie
10102 Country Club Road South East
Cumberland, MD 21502 http://www.alleganyhealthdept.com/addictions/massieupdate.html
Phone - 301-777-2285
Fax - 301-777-5832
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Warwick Manor
3680 Warwick Rd
East New Market, MD
http://www.warwickmanor.org/
Phone - 410-943-8108 (Jamie)
Fax - 410-943-1063
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Ashley Addiction
800 Tydings Lane
Havre de Grace, MD 21078
https://www.ashleytreatment.org/
Phone - 1-800-799-4673
Phone - 410-273-2213
Fax - 410-273-2395
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Shoemaker
6655 Sykesville Road
Sykesville, MD 21784
http://mountainmanor.org/adult-residential/
Phone - 410-876-1990
Fax - 410-876-1690
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Mountain Manor - Baltimore
3800 Frederick Avenue
Baltimore, Maryland 21229
- male only
http://mountainmanor.org/adult-residential/
Phone - 410-233-1400
Phone - 1-800-446-8833
Fax - 301-447-6463
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Hope House - Laurel
429 Main Street
Laurel, MD 20707
http://hopehousemd.org/
Phone - 301-490-5551
Fax - 301-490-0074
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Hudson Health
1506 Harting Drive, PO Box 1096
Salisbury, MD 21801
http://www.hudson-health.org/
- will not accept pts with active warrents
Phone - 410-219-9000
Phone - 1-888-288-9086
Fax - 410-219-5112
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Avery Road
14703 Avery Road
Rockville, MD 20853
http://mountainmanor.org/adult-residential/
Fax - 301-762-3451
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Powell Recovery
14 S Broadway
Baltimore, MD 21231
http://www.powellrecovery.com/
Phone - 410-276-1773
Fax - 410-276-2056
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Gaudenzia Park Heights
4615 Park Heights Ave.
Baltimore, MD 21215
http://www.gaudenzia.org/
Phone - 443-423-1500
Fax - 443-423-1495
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Youth Ranch
7902 Fingerboard Rd
Frederick, MD 21704
www.ranchmd.org
Phone - 301-874-4701
Inpatient Rehab Adult - MEDICARE Insurance
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Turning Point, GA
3015 S Veterans Pkwy
Moultrie, GA 31788
http://turningpointcare.com/
Phone - 1-800-342-1075
Phone - 229-985-4815
Fax - 229-891-4068
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Avery Road
14703 Avery Road
Rockville, MD 20853
http://mountainmanor.org/adult-residential/
Phone - 301-762-5613
Fax - 301-762-3451
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Lincoln Trail - KY
3909 S Wilson Road
Radcliff, KY 40160
http://www.lincolnbehavioral.com/index.asp
Phone - 270-351-9444
Phone - 800-274-7374
Fax - 270-351-8075
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Port St. Lucie Hospital - FL
2550 SE Walton Road
Port St Lucie, FL 34952
no transportation provided
http://portstluciehospitalinc.com/
Phone - 772-335-0400
Fax - 772-337-3327
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Valley Forge Medical Center - PA
1033 W Germantown Pike
Norristown, PA 19403
no transportation provided
http://www.vfmc.net/a_program_overview.html
Phone - 610-539-8500
Fax - 610-539-0910
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Eagleville Hospital - PA
100 Eagleville Road
Eagleville, PA 19403
no transportation provided
http://www.eagleville.org/
Phone - 800-255-2019
Phone - 610-539-6000, ex. 1
Fax - 610-539-7624
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Virginia Hospital Center
601 S. Carlin Springs Road
Arlington, VA 22204
https://www.virginiahospitalcenter.com/Medical/Addiction/addiction.aspx
Phone (inpatient) - 703-558-6755 (Cheryl)
Phone (outpatient) - 703-558-6750
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Anchor of Walden Sierra
30007 Business Center Dr
Charlotte Hall, MD 20622
http://www.waldensierra.org/
Phone - 301-997-1300
Fax - 301-863-4744
Detox Facilities
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Psychiatric Institute of Washington DC
4228 Wisconsin Ave N.W.
Washington DC 20016
http://psychinstitute.com/programs-and-services/adult-detoxification-program/
Phone - 202-885-5610
Fax - 202-885-5614
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Johns Hopkins Bayview Medical Center
4940 Eastern Avenue
Baltimore, MD 21224
http://www.hopkinsmedicine.org
Phone - 410-550-1910
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Recovery Centers of America
2701 Renaissance Blvd
King of Prussia, PA 19406
https://recoverycentersofamerica.com
Phone - 443-388-6995
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Roxbury Treatment
601 Roxbury Road
Shippensburg, PA 17257
http://www.roxburyhospital.com/
Phone - 800-648-4673
Fax - 717-532-2109
Outpatient / IOP Adult
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Epoch Counseling Center
800 Ingleside Avenue Catonsville MD 21228
Note: treats adolescents as well
http://www.friendsresearch.org/epoch_mission.htm
Phone - 410-744-5937
Fax - 410-744-4674
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Mountain Manor
174 Thomas Johnson Drive Frederick MD 21702
Note: treats adolescents as well
http://mountainmanor.org/adult-outpatient-programs/
Phone - 301-662-1407
Fax - 301-662-6989
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Pathways Anne Arundel Medical Center
2620 Riva Rd
Annapolis MD 21401
Note: treats adolescents as well
http://www.pathwaysprogram.org/
Phone - 410-573-5400
Fax - 410-573-5401
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Powell Recovery
14 S Broadway
Baltimore, MD 21231
http://www.powellrecovery.com/
Phone - 410-276-1773
Fax - 410-276-2056
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Warwick Manor
3680 Warwick Rd
East New Market, MD
http://www.warwickmanor.org/
Phone - 410-943-8108
Fax - 410-943-1063
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Allied Counseling Group
Frederick location
306 West Patrick Street
Frederick, Maryland 21701
Smithsburg location
11840 Paden Avenue
Smithsburg, Maryland 21783
http://www.alliedcounselinggroup.com/
Phone - 301-698-7077 (Frederick & Smithsburg locations)
Fax - 301-698-5671 (Frederick & Smithsburg locations)
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Austin Addiction
27 W 7th Street
Frederick, MD 21701
http://www.soberaustin.com
Phone - 240-457-4151
Fax - 240-439-4957
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Catoctin Counseling Center
Note: treats adolescents as well
Frederick location
309 E Patrick St.
Frederick, MD 21701
Hagerstown location
228 E. Washington St.
Hagerstown, MD 21740
Thurmont location
(The Times Building)
112 E Main St.
Thurmont, MD 21788
Westminister location
69 E Main St.
Westminster, MD 21157
http://www.catoctincounseling.com/
Phone - 301-631-1304 (Frederick)
Phone - 301-745-6687 (Hagerstown)
Phone - 301-271-4870 (Thurmont)
Phone - 410-848-9091 (Westminster)
Fax - 301-631-1384 (Frederick)
Fax - 301-739-0041 (Hagerstown)
Fax - 410-848-9176 (Westminster)
Crossroads Intensive Out-Patient
511 W South St
Frederick, MD 21701
http://www.crossroadscenteroffrederick.com/
Phone - 301-696-1950
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Frederick County Behavioral Health Services
Adolescent Treatment Services
350 Montevue Lane
Frederick, MD 21702
Adult Treatment Services
300-B Scholl’s Lane
Frederick, MD 21701
http://health.frederickcountymd.gov/131/Behavioral-Health-Services
Outpatient Mental Health Clinic - 301-600-1755
Adult & Adolescent Treatment Services (Substance Abuse) - 301-600-1775
Community Organized Recovery Efforts (CORE) -301-600-3289
State Care Coordination/ MD Recovery Net - 301-600-4807
Smoking Cessation - 301-600-3437
Fax - 301-600-3298 (Adolescent Treatment Services)
Fax - 301-600-1781 (Adult Treatment Services)
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Frederick Institute
5716-C Industry Lane
Frederick, MD 21704
http://www.addictiontreatmentsystems.com/frederick-institute
Phone - 301-663-4130
Fax - 301-663-4169
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MRB Counseling Services, Inc.
Note: treats adolescents as well
Frederick location
5 Hillcrest Dr, Suite B200
Frederick, MD 21703
Gaithersburg location
101 Chestnut St, Suite 110
Gaithersburg, MD 20877
Hyattsville location
1835 University Blvd, Suite 220
Hyattsville, MD 20783
http://www.mrbcounseling.com/
Phone - 240-566-5656 (Frederick)
Phone - 301-527-0854 (Gaithersburg)
Phone -301-326-4356 (Hyattsville)
Fax -301-378-2930 (Frederick)
Fax -240-243-1061 (Gaithersburg)
Fax -301-326-4361 (Hyattsville)
Maryland Counseling Center
5300 Westview Drive
Frederick, MD 21703
http://www.mcc-center.com/
Phone - 301-662-0855
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Pathways Anne Arundel Medical Center
2620 Riva Rd
Annapolis MD 21401
Note: treats adolescents as well
http://www.pathwaysprogram.org/
Phone - 410-573-5400
Fax - 410-573-5401
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SERENITY TREATMENT CENTER
Note: treats adolescents as well
420 E. Patrick St
Suite 100
Frederick, MD 21701
Frederick location
420 E. Patrick Street, Suite 100
Frederick, MD 21701
Hagerstown location
580 Northern Avenue, Suite D
Hagerstown, MD 21742
http://serenitytreatmentcenter.com/
Phone - 301-898-2627 (Frederick)
Phone - 301-732-5328 (Hagerstown)
Fax - 301-898-2640 (Frederick)
Fax - 301-790-7987 (Hagerstown)
Positive Recovery Services
19506 Doctors Drive
Germantown, MD 20874
Phone - 301-844-6801 (Rachel)
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Maryland Integrative Counseling Associates (MICA)
205 Broadway St.
2nd Floor
Frederick, MD 21701
7520 Standish Place
Suite 190
Rockville, MD 20855
Phone - 301-525-2029
Fax - 240-652-9551
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Recovery Centers of America
2701 Renaissance Blvd
King of Prussia, PA 19406
https://recoverycentersofamerica.com
Phone - 443-388-6995
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Fresh Start Recovery Center
15886 Gaither Dr Suite B
Gaithersburg, MD 20877
http://freshstartrecoverycenter.com/
Phone - 954-278-0704
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Compassion Behavioral Health
1 Oakwood Blvd. #265
Hollywood, FL 33020
http://compassionbehavioralhealth.com
Phone - 844-660-0084
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Youth Ranch
7902 Fingerboard Rd
Frederick, MD 21704
www.ranchmd.org
Phone - 301-874-4701
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Main Place Treatment Centers
915Toll House Ave. Suite 102
Frederick, MD 21701
https://mainplacetc.com/
Phone - 240-575-1324
Fax - 301-682-2053
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Safe Haven Treatment Services
Outpatient Treatment
486 W. Market Street
York, PA 17406
https://www.safehavenyork.com/
Phone - 877-339-0355
Hellam Residential
5849 Lincoln Highway
York, PA 17406
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Anchor of Walden Sierra
30007 Business Center Dr
Charlotte Hall, MD 20622
http://www.waldensierra.org/
Phone - 301-997-1300
Fax - 301-863-4744
Inpatient Rehab - Adolescent
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Catoctin Summit Adolescent Program
5980 Cullen Drive
Sabillasville, MD 21780
Phone - 240-420-5400
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Lois Jackson Unit
10102 SE Country Club Road Cottage 3
Cumberland, MD 21502
http://www.alleganyhealthdept.com/addictions/jacksonupdate.html
Phone - 301-777-2290
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Mountain Manor
3800 Frederick Avenue Frederick MD 21229
http://mountainmanor.org/adolescent-young-adult-residential-programs/
Phone - 410-233-1400
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Pathways Anne Arundel Medical Center
2620 Riva Rd
Annapolis, MD 21401
http://www.aahs.org/pathways/
Phone - 410-573-5400
Fax - 410-573-5401
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Ranch
7902 Fingerboard Rd
Frederick, MD 21704
http://www.theyouthranch.org/
Phone - 301-874-4701
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Roxbury Treatment
601 Roxbury Road
Shippensburg, PA 17257
http://www.roxburyhospital.com/
Phone - 800-648-4673
Fax - 717-532-2109
Inpatient Rehab - Pregnant Women
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Center for Addiction and Pregnancy
4940 Eastern Ave
Baltimore MD 21224
http://www.hopkinsmedicine.org/psychiatry/bayview/medical_services/substance_abuse/center_addiction_pregnancy.html
Phone - 410-550-3066
Fax -410-550-3027
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Safe Harbor Women’s and Children Program
Mountain Manor
9701 Keysville RD
Emmitsburg MD 21727
http://mountainmanor.org/adult-residential/
Phone - 301-447-2361
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The Retreat
1170 S State Street
Ephrata, PA 17522
http://www.retreatlc.com/
Phone - 717-382-0799
Fax - 717-859-1102
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Recovery Centers of America
2701 Renaissance Blvd
King of Prussia, PA 19406
https://recoverycentersofamerica.com
Phone - 443-388-6995
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Retreat Premier Addiction Centers
1170 S State St
Ephrata, PA 17522
Phone - 717-859-8000
Fax - 717-859-6330
https://retreataddictioncenters.com
Sober Living / Half-way Houses
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Beacon House - Frederick Rescue Mission
419 West South Street
Frederick, MD 21701
http://www.therescuemission.org/
Phone - 301-695-6633
Fax - 301-695-6637
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Building Veterans
P.O. Box 174
Brunswick, MD 21716
http://www.buildingveterans.org/
Phone - 301-775-4600
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Evolve Life Centers
2528 Mountain Road, Suite 204
Pasadena, MD 21122
http://evolvelifecenters.com/
Phone - 443-548-3733
Fax - 410-360-1675
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Gale Recovery
Gale House for Women
336 N. Market Street
Frederick, MD 21701
Olson House for Men
608 E. Patrick Street
Frederick, MD 21701
http://www.galerecovery.org/
Phone - 301-662-2303 (Gale House)
Phone - 301-662-7003 (Olson House)
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Prodigal Son House
Note: for men only
1313 Butterfly Lane
Frederick, MD 21703
http://www.prodigalsonhousemd.com/
Phone - 240-446-0728 (Jim Shields)
or paulf@waterboyz.org (Paul Foss)
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Wakefield House
1307 Butterfly Lane
Frederick, MD 21703
http://www.wakefieldhouse.org/
Phone - 443-386-1568 (Eric Wakefield) or 240-674-3368 (Trish Thompson)
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Compassion Behavioral Health
1 Oakwood Blvd. #265
Hollywood, FL 33020
http://compassionbehavioralhealth.com
Phone - 844-660-0084
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Humble House Recovery
Easton and Kent Island Maryland
https://www.humblehouserecovery.org/
Phone - 443-396-3964